Mental Health Book

Hallucinogen Use Disorders

Inhalants

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Barbiturate Abuse

Aka: Barbiturate Abuse, Barbiturate withdrawal
  1. See Also
    1. Chemical Dependency
    2. Substance Abuse Evaluation
  2. Class
    1. Sedative-Hypnotic
  3. Preparations: Forms
    1. Phenobarbital
    2. Nembutal
    3. Seconal
    4. Amytal
  4. Preparations: Street Names
    1. Blue Devils
    2. Yellow Jackets
    3. Blue Heavens
    4. Downers
    5. Barbs
  5. Pharmacokinetics
    1. Seconal (30-500 mg): 6-8 hours duration
  6. Signs: Withdrawal
    1. Seizure
    2. Delirium
  7. Management: Overdose
    1. Supportive care with airway management for CNS Depression (similar to Benzodiazepines)
    2. Urine Alkalinization with Sodium Bicarbonate
  8. Management: Withdrawal Protocol (Barbiturate Taper)
    1. See also Barbiturate Equivalents
    2. Pentobarbital challenge (shorter half life)
      1. Start: 200 mg Pentobarbital
      2. Then: 100 q2 hours until mildly intoxicated
    3. Switch to Phenobarbital
      1. Convert: 30 mg Phenobarbital = 100 mg Pentobarbital
      2. Decrease Phenobarbital by 10% per day

Barbiturate abuse (C0338700)

Concepts Finding (T033)
SnomedCT 191903008, 231462006
Spanish Abuso de barbitúricos, abuso de barbitúricos (trastorno), abuso de barbitúricos
French Abus de barbituriques
Dutch barbituraatmisbruik, barbituraten; misbruik, misbruik; barbituraten
Portuguese Abuso de barbitúrico
German Barbituratmissbrauch
Italian Abuso di barbiturici
Japanese バルビツレートランヨウ, バルビツレート乱用
English barbiturate abuse, barbiturate abuse (diagnosis), Barbiturate abuse, Barbiturate abuse (disorder), barbiturate(s); abuse, abuse; barbiturate(s)
Czech Abúzus barbiturátů
Hungarian Barbiturát abúzus
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Barbiturate withdrawal (C1827973)

Concepts Disease or Syndrome (T047)
SnomedCT 425339005
English Barbiturate withdrawal (disorder), Barbiturate withdrawal, barbiturate withdrawal, barbiturate withdrawal (diagnosis)
Spanish abstinencia de barbitúricos, abstinencia de barbitúricos (trastorno)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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